The investigation object: individual regional anatomic changeability of soft tissues of head of man. The investigation goal: to define the morphological and biomechanics features of soft tissues of different topographo-anatomycal areas of head. Methods of research: preparing, histological, morphometric, method of variation statistics, making of two-dimensional graphic reconstructions on the basis of index snapshots at light level, method of test on a monaxonic linear stretch, method of estimation of scars on Wancouver’s to the scale, methods of planimetric researches, method of doppler. Theoretical and practical value of the obtained results: data in relation to dependence of absolute values of flowage on the form of head, age and sex in different topographo-anatomycal areas at the stage of planning of plastic and reconstructive operations allow to estimate the borders of removing layer by layer of flaps and their possibility to deformation in the concrete areas of operative intervention. On the basis of the mathematical finding, their computer treatment by means of graphics editors, visualization of processes and construction of tables the computer program of planning of reconstructive operations is created. On the stage of planning there is possibility in a digital kind to define the displacements given on length or to the corner of rotary press of dermic-fatty flaps depending on character of defect and concrete patient. The distinguished areas of sliding, fixing and intermediate areas, allow on the stage of planning to define expediency of realization of operative intervention in relation to getting up and mobilization of flaps in area of being of defect. The structures over of soft tissues of head given about features are brought, dependence of thickness of epidermis, derma, hypodermic-fatty cellulose from the form of head, age and sex allow on the stage of planning of plastic and reconstructive operations to be determined with digital data in relation to the depth of removing layer by layer and mechanism of sliding of flaps which are in different topographo-anatomical areas. The results of researches allow substantially to extend testimonies to substituting for defects and deformations of head by the pull of the alongside located tissues within the limits of flowage and select depth of sliding. Scientific novelty of the obtained results: the minimal and maximal mean values of thickness of skin are First certain in the different areas of head. Dependence of general thickness of skin of different areas of head is set, thickness of epidermis, derma and hypodermic-fatty cellulose from the form of head, age and sex, their most and the least values are found out for certain. Dependence of degree of deformation of dermic-fatty flaps is first set on time of deformation and belonging of them to the different areas of head. Histological description is given to the changes which take place on the different stages of deformation of dermic-fatty flaps of head: during initial deformation, flowage, middle critical point and area of break. The values of critical points are found out in the different areas of head. A few types of sliding in relation to the depth of removing layer of flaps on a head and belonging of them are first educed to the areas with a different topography. 3 groups of areas are distinguished taking into account certain functional and biomechanics properties are areas sliding, intermediate and areas of fixing. The coefficients of mathematcal models, which describe the stages of tension and relaxation of dermic-fatty flaps, are certain, a mathematical model which shows biomechanics possibilities of skin at large and small deformations is created. First, being based on the results of morphological and clinical researches, the tables of dermic-fatty flaps are created taking into account their biomechanics properties in the different areas of sliding, which answer one or another areas of head. A scheduling of plastic and reconstructive operations which are related to getting up and mobilization of flaps of head for closing of defects of the alongside located tissues algorithm is offered. The degree of implementation: demonstative in dissertation theoretical and practical data are inculcated in an educational process and research work of departments of operative surgery and topographical anatomy, anatomy of man, pathoanatomy, histology, cytology and embryology, surgical pedodontia and пропедевтики of surgical stomatology Ukrainian medical stomatological academy, to operative surgery and topographical anatomy, to the normal anatomy, histology, cytology and embryology, to surgical stomatology and maxillufacial surgery of the Kharkiv National medical university, operative surgery and topographical anatomy, to surgical stomatology and maxillufacial surgery of the Dnipropetrovsk State medical academy and can be used on morphological departments and departments of surgical stomatology, maxillufacial and plastic surgery of head and neck of higher educational establishments of medical and biological type.
